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NPI Code Detail

MEDICARE: MRS. MOLLY ROSENZWEIG LSW

MEDICARE: MRS. MOLLY ROSENZWEIG LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerS.1303564OH

General Provider Information

NPI Number : 1629477542
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MOLLY ROSENZWEIG LSW
Provider Business Mailing Address
First Line : 1439 SOUTH ST
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5440
Country : US
Telephone Number : 732-523-2327
Fax Number :
Provider Business Practice Location Address
First Line : 1855 S TAYLOR RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-2161
Country : US
Telephone Number : 216-209-2116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2014
Last Update Date : 05/10/2022

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